Individual
THERESE L WOLF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BA, ACA, BC-HIS
Contact information
Practice address
734 ALGER ST SE, STE 200, GRAND RAPIDS, MI 49507-3593
(616) 988-2158
Mailing address
2263 ANCIENT DR SW, WYOMING, MI 49519-4849
(616) 538-9563
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501001328
MI
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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